RED BRIDGE FAMILY DENTAL (NPI# 1619583895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619583895 |
| Entity Type | Organization |
| Organization Name | RED BRIDGE FAMILY DENTAL |
| Practice Address |
400 E Red Bridge Rd Ste 321 Kansas City MO 64131-4031 |
| Practice Telephone | 8169430600 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. PETER BENJAMIN MCCLELLAN (CO-OWNER) |
| Authorized Official Telephone | 5732306862 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
400 E RED BRIDGE RD STE 321 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366976862 | Margaret Boehm | Dentist | 400 E Red Bridge Rd Ste 321, Kansas City, MO 64131-4031 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1144784711 | Tmj and Sleep Therapy Centre of Kansas City | Clinic/Center | 1236 W 103rd St, Kansas City, MO 64114-4513 | 2019-01-28 |
| 1891201885 | Darren M Perry | Clinic/Center | 800 W 47th St Ste 515, Kansas City, MO 64112-1247 | 2017-12-28 |
| 1356850473 | Sih Mokan, P.C. | Clinic/Center | 803 W 48th St Apt 404, Kansas City, MO 64112-1859 | 2017-09-20 |
| 1942733571 | Pediatric Smiles, LLC | Clinic/Center | 8672 Ne Flintlock Rd, Kansas City, MO 64157-1087 | 2017-04-11 |
| 1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
| 1760093892 | Westport Family Dental, LLC | Clinic/Center | 104 Archibald St, Kansas City, MO 64111-2230 | 2020-08-12 |
| 1275141970 | Murphy and Associates Dental, LLP | Clinic/Center | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2020-07-19 |
| 1568097236 | Lee Plaza Dental LLC | Clinic/Center | 4320 Wornall Rd Ste 446, Kansas City, MO 64111-3235 | 2020-03-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64131 |
Please comment or provide details below to improve the information on RED BRIDGE FAMILY DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.